The reason that President Obama uses teleprompters, even when addressing elementary school children, is because he cannot help but reveal who he is and what he believes during moments that involve real spontaneity. He no doubt wishes that he had gotten a “mulligan” for that line that he inadvertently delivered: “you did not build that business”, but it says so much about the man, his agenda, and why he feels the moral superiority to enact it.

Some dismissed the comment, while others called it a Freudian slip. But devotees of Freud maintain that a “slip” is actually caused by an unconscious or repressed wish, feeling or train of thought.

Poker players I know call it a “tell”. I believe it was simply Obama telling America, in a brief moment of honesty, what he really believed about the individual, and their relationship to the state.

“You did not build that business” revealed the antipathy that the president harbors for the individual, especially successful ones. No one is bigger than the state, and hence all that an individual achieves, the government has some claim to- whether it is your wealth, your intellectual property, or you.

Why would President Obama tell the American people lies about doctors, such as “...doctors would rather take out tonsils than treat a sore throat because it pays better” or “… doctors would rather cut off legs for $50,000 than take care of a diabetic before it got to this point”?

It is because he believes that doctors owe fealty to the government for what they have accomplished. Everyone has claim to their success. People need to see them for what they really are- rich, money driven mercenaries. He also needs to denigrate them in order for his agenda to succeed.

“Listen up”, he was saying to doctors. You did not achieve straight A’s in college, working into the late night and on weekends, while your roommates were out partying. Those grades could not have happened without the schools, paid for in part with Federal aid.

You did not graduate from medical school, putting in thousands more hours of studying and hard work. The government subsidized part of the school; your degree belongs to us all.

You did not complete your surgical residency, devoting tens of thousands of hours over 6-9 years, learning your craft and honing your skills, sacrificing your personal life in doing so. No, the government was right there, sending money to the hospitals where you learned how to become a surgeon. You could not have done this without Uncle Sam.

You did not succeed in your medical practice, working on average 60-80 hours every week, missing children’s birthday parties, anniversaries, soccer games and school plays. You did not pay exorbitant malpractice insurance rates to protect yourself from those who wish to prey on your ill-gotten gains.

You did not perform that life-saving cancer operation. The government was there every step of the way and made it possible for that to have happened. Why, the very road that you traveled to get to the hospital that day was built by all of the taxpayers.

And that gang banger that you treated in the emergency room for free in the middle of the night, which the government forced you to see, thanks to the EMTALA law, was something that they felt entitled to take from you- your time and skill- because they own a piece of you.

Herein is the essence of President Obama’s ideology. It is one that not only diminishes personal achievement, but goes on to claim that the fruits that are borne out of the toil leading to that achievement are to be shared with the state and hence everyone.

Obamacare is rooted in this philosophy. The doctors who are being counted upon to care for patients are merely footnotes in this massive new bureaucracy. The healthcare system is being turned upside down with the federal government in charge of deciding who gets what kind of care, by whom, where and how much they will pay for it. Those who engineered Obamacare believe that they can do this because they feel that they own a piece of every doctor in America and that the government has a right to this work.

It becomes easier to do this by convincing Americans that healthcare is an entitlement, and consequently, someone has to provide that care for them. It becomes easier for people to feel that sense of entitlement, if they believe that their doctors are not the compassionate individuals that they thought they were, but rather, greedy opportunists like the President has depicted them.

On the current path, the worst is yet to come. Doctors are quitting in anticipation of government controlling their practices. Doctor shortages are here, but will soon reach epic proportions. Covert rationing of care is coming because there will not be enough doctors to see patients.

There is still time to change course, but the window of opportunity is quickly closing. November 6 will be a referendum on what kind of America we want to have- one where personal achievement is valued, or one where everyone lays claim to those achievements.

Hal Scherz is the President & Founder of Docs 4 Patient Care. He is a full time pediatric urologist at Children’s Hospital of Atlanta and a clinical associate professor of urology at Emory University.